Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles H Dickerson

Individual provider Radiologic Technologist · NPI 1699181842

Charles H Dickerson is a Radiologic Technologist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2014
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Practice location Address checks out

2208 Old Henderson Hwy
Tyler, TX 75702-6457
Phone: (903) 596-9729
Fax: (903) 747-3373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 6309 (TX)

Record details

NPI number1699181842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2014

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